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Geometrical approach to the end‐to‐side anastomosis
Author(s) -
Werker Paul M. N.,
Kon Moshe,
Green Colin J.
Publication year - 1991
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920120609
Subject(s) - anastomosis , medicine , microsurgery , surgery , surgical anastomosis , perpendicular , geometry , mathematics
We analyzed the procedure of performing an arterio‐ or venotomy in rats and changed it from parallel to the long axis to perpendicular to the long axis. Simultaneously, geometrical analysis of the shape of an arterio‐ or venotomy led to a new approach for the end‐to‐side anastomosis in experimental free flap transplantation. This new method was applied in 268 anastomoses. It necessitated only six sutures and resulted in 100% arterial early and late patency and in 99% venous early and late patency.